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Query: UMLS:C0016382 (flushing)
 6,387 document(s) hit in 31,850,051 MEDLINE articles (0.00 seconds)

The effect of ozonation of supply water for one wing of an unoccupied hospital building which had positive cultures for Legionella pneumophila from multiple potable water fixtures was studied in a prospective, controlled fashion. Mean ozone residual concentrations of 0.79 mg/liter eradicated L. pneumophila from the fixtures, but so did nonozonated water in the control wing fixtures. The efficacy of the nonozonated water was most probably due to a mechanical flushing effect and to an unexpected rise in the chlorine content of the supply water. Determination of the in vitro activity of ozone against L. pneumophila did not predict the efficacy of its eradication from water fixtures treated with ozone.
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PMID:Efficacy of ozone in eradication of Legionella pneumophila from hospital plumbing fixtures. 715 81

Infection control is an important issue in the dental surgery but the potential hazards associated with contaminated dental water have received relatively little attention in recent years. The complex design of the equipment results in stagnation of water within the dental chair and subsequent amplification of contaminating environmental organisms, including pseudomonads and legionellae, to potentially hazardous levels. Immunocompromised patients may be at particular risk of infection. Very poor water quality with total bacterial counts above 10(4) ml-1 is unpleasant for all patients, and the dental chair supply should be of drinking water quality. In addition to these problems, bacteria and viruses may be aspirated from the oral cavity and contaminate the handpiece. Measures to reduce microbial contamination of dental chairs and equipment include flushing water through the chair's equipment at the beginning of each day; continuous or pulsed water chlorination, or application of biocides other than chlorine; provision of sterile bottled water in the system; and autoclaving handpieces between patients. Future dental chair design must attempt to resolve the problems associated with microbial contamination of the water supply and aerosols generated during dental procedures.
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PMID:The microbiological quality of water in dental chair units. 809 91

This research focused on providing guidelines for water utilities on the collection and handling of routine bacteriological samples and in developing scientifically-based approaches in selecting the most representative sampling locations. A laboratory-scale pilot distribution system was designed comprising two parallel loops, one using unlined cast-iron pipe and one using PVC pipe. Each loop contained six sampling ports, including (1) a distribution main dead end faucet, (2) one long (5.5 m; 18 feet) and (3) one short (0.3 m; 1 foot) household copper service line with threaded hose-bibb taps, (4) one hose-bibb with welded faucet, (5) one dedicated sampling port (modeled after a manufacturer's specifications) and (6) one laboratory-style (PVC) stop-cock sampling port. Residual chlorine concentrations were maintained at 0, 0.5, 1.5 and 2.0 mg/L stages during the course of the experiment. Bacterial samples were collected from the different sampling ports and assayed by membrane filtration and/or spread plate. Nutrient and R2A agars were used for heterotrophic plate counts (HPC), m-Endo agar for total coliform (TC) counts and Chromocult agar for injured bacterial analyses. Several methods of sample collection were tested using various combinations of flushing and tap disinfection, including "first flush" (no flushing, without tap disinfection), flushing only, tap disinfection only (using alcohol or hypochlorite solution) and flushing coupled with tap disinfection. The results indicated that the bacterial counts in samples drawn from dead ends were not significantly different from counts in samples from the other sample port configurations. First flush samples consistently produced the highest bacterial count results. Bacterial counts in samples from the long household copper service line were typically three orders of magnitude higher than in samples from the other sample ports. Thus, there is evidence that long copper household service connections may be unsuitable sample tap configurations for collecting samples intended to represent microbial quality in the distribution system.
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PMID:Laboratory testing protocol to identify critical factors in bacterial compliance monitoring. 1263 17

Testing the piping of a new hospital showed that the drinking water was contaminated with Pseudomonas aeruginosa. Because of pollution the plumbing system was treated with oxidizing biocides and air-water flushing for several times, unfortunately without stopping the bacterial recontamination. The reasons were firstly stagnation due to dead legs in the piping system, oversized pipes, very low water exchange rates and the installation of a catch water system, secondly low flow velocity because of low water pressure. After these sources of recontamination had been repaired, chlorine dioxide sanitization could be stopped successfully
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PMID:[Pseudomonads in a new hospital building]. 1468 28

A laboratory study was conducted to examine cosolvent-enhanced in-situ chemical oxidation (ISCO) of perchloroethylene (PCE) using potassium permanganate (KMnO4). The conceptual basis for this new technique is to enhance permanganate oxidation of dense non-aqueous phase liquids (DNAPLs) with the addition of a cosolvent, thereby increasing DNAPL solubility while avoiding mobilization. Among 17 cosolvent candidates screened, tertiary butyl alcohol (TBA) and acetone were the most stable in the presence of KMnO4, both of which increased PCE aqueous solubility significantly, and therefore are suitable to be used as cosolvent in this study. Batch experiments indicated that the second-order rate constant for PCE oxidation by potassium permanganate was 0.043+/-0.002 M(-1) s(-1) in the purely aqueous (no cosolvent) solution. In the presence of 20% cosolvent (volume fraction=fc=0.2), the rate constant decreased to 0.036+/-0.003 M(-1) s(-1) with TBA and to 0.031+/-0.002 M(-1) s(-1) with acetone. However, in the presence of free-phase PCE, chloride ion concentration from PCE oxidation in acetone/water solutions (fc=0.2) was about twice that in aqueous solutions, indicating that the increase in PCE solubility more than compensated for the decrease in reaction rate constant, such that the oxidation efficiency of PCE was increased with cosolvent. A complete chlorine mass balance was observed in the aqueous system, whereas approximately 70% was obtained in TBA/water or acetone/water (fc=0.2). In soil columns containing residual DNAPL and subjected to isocratic flushing with step-wise increases in f(c) cosolvent, TBA at fc=0.2 resulted in PCE mobilization, whereas acetone at fc<or=0.5 did not. Therefore, although both TBA and acetone exhibit similar solubility enhancements, acetone may be a better solvent choice for use in in-situ remediation of DNAPL source zones.
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PMID:Cosolvent-enhanced chemical oxidation of perchloroethylene by potassium permanganate. 1622 23

We researched the behavior of pathogenic microbes in a treated wastewater reuse system to acquire knowledge for establishing new standards for the reuse of treated wastewater. Based on the results that showed occasional growth of total coliforms but barely any growth of Escherichia coli in the supply tank, we found that the total coliform, which includes bacteria that also breed in the soil, etc., is not necessarily suitable as the index bacteria for indicating pollution by excrement. We also clarified that it is possible to decrease the heterotrophic plate count to a specified level in cases where combined residual chlorine is more than 0.3 mg/l, and that the standard value for residual chlorine should be set at 0.3 mg/l or more. At the same time, we found that applying sand filtration treatment to water used for toilet flushing, sprinkling and landscaping, and sand filtration treatment plus coagulation treatment to water for recreational use lowers the annual risk of infection by Cryptosporidium to less than 10(-4). The standard for viruses must be examined in the future because Noroviruses were sometimes detected even in the reclaimed water, although we could not establish the standard at this time due to problems with the virus detection method.
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PMID:Behavior of pathogenic microbes in a treated wastewater reuse system and examination of new standards for the reuse of treated wastewater. 1705 50

A commonly used plastic plumbing pipe, silane-cross-linked polyethylene (PEX-b according to European standards), was investigated using the Utility Quick Test (UQT), which is a migration/leaching protocol recommended for evaluating taste-and-odour properties of materials prior to installation in distribution systems. After exposure of new PEX pipe to chlorine, monochloramine or no disinfectant, the odours in the leachate were described as "chlorinous" if chlorine or monochloramine were present and "chemical/solvent-like" with descriptors of sweet, bitter, chemical, solvent, plastic, burnt and mechanical/motor oil. The presence of disinfectant, chlorine or chloramines, did not alter the odour characteristics or intensity of the PEX odour. The "chemical/solvent-like" odours persisted even after multiple flushing periods. 2-Ethoxy-2-methylpropane, commonly called ETBE, was identified as a contributor to the described odour from the PEX pipe. Aqueous concentrations of ETBE in pipe leachate ranged from a low of 23 microg/L to > 100 microg/L. The concentrations decreased with increased flushing. Panelists were able to smell ETBE at a concentration of 5 microg/L and assigned a rating of a weak odour. The need for taste and odour testing of plumbing materials prior to use in residential housing systems is necessary.
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PMID:Contributions of silane cross-linked PEX pipe to chemical/solvent odours in drinking water. 1748 5

This study concerns effects on water-borne lead from combinations of chlorine (CL) or chloramines (CA) with fluosilicic acid (FSA) or sodium fluoride (NaF). CL is known to corrode brass, releasing lead from plumbing devices. It is known that CA and CL in different ratios with ammonia (NH) mobilize copper from brass, which we have found also enhances elution of lead from leaded brass alloys. Phase I involved leaded-brass 1/4 in. elbows pre-conditioned in DI water and soaked in static solutions containing various combinations of CL, CA, FSA, NaF, and ammonium fluosilicate. In Phase II 20 leaded-brass alloy water meters were installed in pipe loops. After pre-conditioning the meters with 200 flushings with 1.0 ppm CL water, seven different solutions were pumped for a period of 6 weeks. Water samples were taken for lead analysis three times per week after a 16-h stagnation period. In the static testing with brass elbows, exposure to the waters with CA+50% excess NH3+FSA, with CA and ammonium fluosilicate, and with CA+FSA resulted in the highest estimated lead concentrations. In the flow-through brass meter tests, waters with CL+FSA, with CL+NaF, and with CL alone produced the highest average lead concentration for the first 3-week period. Over the last 3 weeks the highest lead concentrations were produced by CL+NaF, followed by CL alone and CA+NH3+FSA. Over the first test week (after CL flushing concentrations were increased from 1.0 to 2.0 ppm) lead concentrations nearly doubled (from about 100 to nearly 200 ppb), but when FSA was also included, lead concentrations spiked to over 900 ppb. Lead concentrations from the CL-based waters appeared to be decreasing over the study period, while for the CA+NH3+FSA combination, lead concentrations seemed to be increasing with time.
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PMID:Effects of fluoridation and disinfection agent combinations on lead leaching from leaded-brass parts. 1769 14

Legionella spp. (> or = 500 cfu liter(-1)) were detected in 92 of 497 water distribution systems (WDS) examined. Thermal disinfection was applied at 33 WDS. After the first and second application of the disinfection procedure, 15 (45.4%) and 3 (9%) positive for remedial actions WDS were found, respectively. Legionella pneumophila was more resistant to thermal disinfection than Legionella non-pneumophila spp. (relative risk [RR]=5.4, 95% confidence intervals [CI]=1-35). WDS of hotels with oil heater were more easily disinfected than those with electrical or solar heater (RR=0.4 95% CI=0.2-0.8). Thermal disinfection seems not to be efficient enough to eliminate legionellae, unless repeatedly applied and in combination with extended heat flushing, and faucets chlorine disinfection.
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PMID:Thermal disinfection of hotels, hospitals, and athletic venues hot water distribution systems contaminated by Legionella species. 1798 Feb 43

Over 317,000 tonnes of road salt (NaCl) are applied annually for road deicing in the Twin Cities Metropolitan Area (TCMA) of Minnesota. Although road salt is applied to increase driving safety, this practice influences environmental water quality. Thirteen lakes in the TCMA were studied over 46 months to determine if and how they respond to the seasonal applications of road salt. Sodium and chloride concentrations in these lakes were 10 and 25 times higher, respectively, than in other non-urban lakes in the region. Seasonal salinity/chloride cycles in the lakes were correlated with road salt applications: High concentrations in the winter and spring, especially near the bottom of the lakes, were followed by lower concentrations in the summer and fall due to flushing of the lakes by rainfall runoff. The seasonal salt storage/flushing rates for individual lakes were derived from volume-weighted average chloride concentration time series. The rate ranged from 9 to 55% of a lake's minimum salt content. In some of the lakes studied salt concentrations were high enough to stop spring turnover preventing oxygen from reaching the benthic sediments. Concentrations above the sediments were also high enough to induce convective mixing of the saline water into the sediment pore water. A regional analysis of historical water quality records of 38 lakes in the TCMA showed increases in lake salinity from 1984 to 2005 that were highly correlated with the amount of rock salt purchased by the State of Minnesota. Chloride concentrations in individual lakes were positively correlated with the percent of impervious surfaces in the watershed and inversely with lake volume. Taken together, the results show a continuing degradation of the water quality of urban lakes due to application of NaCl in their watersheds.
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PMID:Increase of urban lake salinity by road deicing salt. 1876 21


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